| NPI | 1730433707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 748784) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2022-01-03 |